TY - BOOK AU - Higgins, James P TI - Leech Therapy Following Digital Replantation and Revascularization. [Review] SN - 0363-5023 PY - 2020/// KW - IN PROCESS -- NOT YET INDEXED KW - Curtis National Hand Center KW - Journal Article KW - Review N2 - Venous congestion after digital replantation or revascularization threatens digit survival in the immediate postoperative period. External bloodletting, including leech therapy, provides a central role in salvage of the congested finger. Although there have been previous studies describing the initiation of leech therapy for digits experiencing venous insufficiency, few published articles and no consensus guidelines have discussed the weaning of leeches in the postoperative period. We review the current evidence behind leech therapy and offer a treatment algorithm based on available data and existing leech weaning protocols. Copyright (c) 2020 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved UR - https://dx.doi.org/10.1016/j.jhsa.2020.03.026 ER -